网络化延续性康复护理对宫颈癌化疗患者希望水平及遵医行为的影响

Influence of network continuous rehabilitation nursing on hope level and compliance behavior of patients with cervical cancer undergoing chemotherapy

目的探讨网络化延续性康复护理在宫颈癌化疗患者中的应用价值。方法选取2020年9月—2022年9月某院收治的126例宫颈癌化疗患者,按入院顺序分为2组,各63例。对照组采取常规护理,观察组采取网络化延续性康复护理,2组均护理3个月。对比分析2组希望水平、遵医行为、自我管理能力、负性情绪以及护理满意度。结果护理后,观察组Herth希望量表(HHI)中对现在与未来的积极态度评分为(10.01±0.79)分、采取的积极行动评分为(10.46±0.65)分、与他人保持亲密关系评分为(10.34±0.71)分及HHI总分为(30.81±5.02)分,相比于对照组的(8.96±0.81)分、(9.15±0.54)分、(9.02±0.69)分、(27.13±4.46)分,差异均有统计学意义(P均<0.001);观察组自我护理能力测定量表(ESCA)中自我护理技能评分为(35.46±6.01)分、健康认知评分为(53.97±6.74)分、自我概念评分为(22.63±4.10)分、自我责任感评分为(18.03±3.46)分及ESCA总分为(130.09±9.84)分,相比于对照组的(30.07±5.59)分、(45.83±6.02)分、(18.50±4.37)分、(15.94±3.15)分、(110.34±9.02)分,差异均有统计学意义(P均<0.001)。观察组焦虑评分为(43.20±4.76)分、抑郁评分为(44.59±5.06)分,相比于对照组的(46.92±4.19)分、(48.02±3.61)分,差异均有统计学意义(t=4.656、4.380,P均<0.001)。观察组遵医总依从率为96.83%、护理满意度为95.24%,相比于对照组的85.71%、84.13%,差异均有统计学意义(χ^(2)=4.881、4.203,P均<0.05)。结论网络化延续性康复护理能够减轻宫颈癌化疗患者负性情绪,提高希望水平,改善遵医行为,增强自我管理能力,且能够获得较高的护理满意度。

Objective To explore the application value of networked continuous rehabilitation nursing in patients undergoing chemotherapy for cervical cancer.Methods A total of 126 patients with cervical cancer treated in the hospital from September 2020 to September 2022 were enrolled and divided into two groups with 63 cases in each group.The control group was given routine nursing,and the observation group was treated with networked continuous rehabilitation nursing,and both groups were nursed for 3 months.The hope level,medical compliance behavior,self-management ability,negative emotion,and nursing satisfaction of the two groups were compared and analyzed.Results After nursing,the average score of positive attitude towards the present and the future was(10.01±0.79),the average score of the positive action taken was(10.46±0.65),the average score of maintaining intimate relationships with others was(10.34±0.71),and the average total HHI score was(30.81±5.02)in the observation group,compared with those in the control group:(8.96±0.81)(9.15±0.54),(9.02±0.69),and(27.13±4.46),the differences were statistically significant(all P<0.001).The average score of self-care skills of the Self-care Ability Assessment Scale(ESCA)in the observation group was(35.46±6.01),health cognition score was(53.97±6.74),self-concept score was(22.63±4.10),self-responsibility score was(18.03±3.46),and the total ESCA score was(130.09±9.84),compared with those in the control group:(30.07±5.59)(45.83±6.02)(18.50±4.37)(15.94±3.15)and(110.34±9.02),the differences were statistically significant(all P<0.001).The average anxiety score and depression score in the observation group were(43.20±4.76)and(44.59±5.06),which were significantly different from those in the control group:(46.92±4.19)and(48.02±3.61)(t=4.656,4.380,both P<0.001).The total compliance rate and nursing satisfaction rate in the observation group were 96.83%and 95.24%respectively,compared with those in the control group(85.71%and 84.13%),the differences were statistically significant(χ^(2)=4.881,4.203,both P<0.05).Conclusion Networked continuous rehabilitation nursing can alleviate negative emotions,increase the level of hope,improve medical compliance behavior,enhance self-management ability in patients with cervical cancer chemotherapy,and achieve high nursing satisfaction.